Pankaj H Patel

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Behavioral economics provides insights about the development of effective incentives for physicians to deliver high-value care. It suggests that the structure and delivery of incentives can shape behavior, as can thoughtful design of the decision-making environment. This article discusses several principles of behavioral economics, including inertia, loss(More)
The objective of this study was to review the development of a multidisciplinary asthma disease management program in a large medical group practice in an urban area, and evaluate the impact of the program on processes of care and health care utilization for adults and children with asthma. The disease management intervention included the development of a(More)
The Affordable Care Act encourages the formation of accountable care organizations as a new part of Medicare. Pending forthcoming federal regulations, though, it is unclear precisely how these ACOs will be structured. Although large integrated care systems that directly employ physicians may be most likely to evolve into ACOs, few such integrated systems(More)
Clinical performance measures and cost per episode of care are key ingredients of healthcare "value" and are increasingly being viewed as belonging in the public domain. "Pay for performance" (P4P) programs reward high performance of clinical "processes" and "outcome" measures, in particular for those related to chronic disease, patient satisfaction,(More)
Pay-for-performance incentives can drive physician behavior change when using specific design principles, highlighting success where other P4P programs have failed. Incentives targeted at groups allow use of value-based metrics that would otherwise be unfair to individual physicians. Non-financial incentives, such as public recognition and realtime data(More)
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